Sullivan County Residential Safe Room Application

This application does not guarantee funding for a safe room and is not an application for assistance. Please provide all of the information requested. Incomplete forms will not be retained for consideration. If selected, you will be notified and provided additional documentation for signature and acceptance.

The application deadline is April 22, 2025.

Terms and Conditions

By submitting this application, you are verifying that the information you are providing is correct and you understand and agree to the following terms and conditions.

I understand that completion and submission of this application is not a guarantee of selection for the program.

Yes

Homeowner Information

Homeowner Name

County

Property Address

Mailing Address

Tax ID/Parcel ID

Enter "Unknown" if you do not know the property's tax ID or parcel ID.

Home Phone Number

Phone

Cell Phone Number

Phone

Email Address

Do you own your home?

Yes

Home Information

What type of home do you own?

Mobile/manufactured home

House with basement

House without basement

What year was your home built?

Is your home located in a historic district?

Yes

How many people live at the home?

How many bedrooms are in the home?

What type of safe room do you want to install?

Interior Above-Ground

Exterior Above-Ground

Interior Below-Ground

Exterior Below-Ground

Is the home located in a flood zone?

Yes

Unknown

Will the safe room be installed within 100 feet of the home's foundation?

Yes

How did you hear about the Safe Room Program?

Send me a copy of my responses

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